| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $0.12 | $0.12 | |
Aetna
| Professional | $0.12 | $0.12 | $25.90 | |
BCBS
| Professional | $1.01 | $1.01 | $1.01 | |
Cigna
| Professional | $1.00 | $17.48 | $17.48 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |